[1]孙井来,韦成相,韩文淮,等.数字减影CT血管成像与彩色多普勒超声对颈动脉粥样硬化斑块检出率及斑块性质、狭窄程度判定的效果比较[J].国际放射医学核医学杂志,2018,(6):513-517.[doi:10.3760/cma.j.issn.1673-4114.2018.06.007]
　Sun Jinglai,Wei Chengxiang,Han Wenhuai,et al.Comparison of digital subtraction computed tomography angiography and color doppler ultrasound on the detection rate of carotid atherosclerosis plaques and the evaluation of plaque properties and stenosis degree[J].International Journal of Radiation Medicine and Nuclear Medicine,2018,(6):513-517.[doi:10.3760/cma.j.issn.1673-4114.2018.06.007]
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数字减影CT血管成像与彩色多普勒超声对颈动脉粥样硬化斑块检出率及斑块性质、狭窄程度判定的效果比较(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
期数:
2018年第6期
页码:
513-517
栏目:
临床研究
出版日期:
2018-12-31

文章信息/Info

Title:
Comparison of digital subtraction computed tomography angiography and color doppler ultrasound on the detection rate of carotid atherosclerosis plaques and the evaluation of plaque properties and stenosis degree
作者:
孙井来1;  韦成相1;  韩文淮1;  徐杰2;  陈风兰2
1. 223100, 淮安市洪泽区人民医院放射科;
2. 223100, 淮安市洪泽区人民医院彩超室
Author(s):
Sun Jinglai1;  Wei Chengxiang1;  Han Wenhuai1;  Xu Jie2;  Chen Fenglan2
1. Department of Radiology, Hongze Huaian District People’s Hospital, Huaian 223100, China;
2. Color Doppler Room, Hongze Huaian District People’s Hospital, Huaian 223100, China
关键词:
血管造影术; 数字减影; 体层摄影术; X线计算机; 超声检查; 多普勒; 彩色; 斑块; 动脉粥样硬化; 颈动脉狭窄
Keywords:
Angiography;  digital subtraction; Tomography;  X-ray computed; Ultrasonography;  doppler; color; Plaque;  atherosclerotic; Carotid stenosis
DOI:
10.3760/cma.j.issn.1673-4114.2018.06.007
摘要:
目的 比较数字减影CT血管成像（DSCTA）与彩色多普勒超声（CDUS）对颈动脉粥样硬化斑块的检出、斑块性质及狭窄程度判定的价值以及一致性。方法 回顾性分析2015年1月至2017年10月就诊的可疑颈动脉狭窄患者90例，分别进行DSCTA与CDUS检查。采用卡方检验对比斑块分布、大小、斑块性质和狭窄程度。结果 90例患者双侧颈部DSCTA检查发现52例颈动脉狭窄，3例为双侧狭窄，其中轻度狭窄29例、中度狭窄9例、重度狭窄12例，完全闭塞2例；检出斑块175处，其中钙化斑块133处、混合斑块30处、脂质斑块12处。90例患者双侧颈部CDUS检查发现54处颈动脉狭窄，3例为双侧狭窄，其中轻度狭窄26例、中度狭窄10例、重度狭窄16例，完全闭塞2例；检出斑块218处，其中钙化斑块138处、混合斑块39处、脂质斑块41处。DSCTA与CDUS诊断颈动脉狭窄的差异无统计学意义（χ2=0.75，P=0.861）；CDUS检查发现了更多的可见斑块及脂质斑块，<5 mm的小斑块（60处）检出率明显高于DSCTA（25处），差异有统计学意义（χ2=10.035，P=0.002）。结论 DSCTA与CDUS对颈动脉狭窄的诊断效能均较高，具有较好的临床应用价值。CDUS对<5 mm斑块的检出优于DSCTA。
Abstract:
Objective To compare the value of digital subtraction computed tomography angiography (DSCTA) and color doppler ultrasound (CDUS) in the detection of carotid atherosclerotic plaques, plaque properties, and degree of stenosis. Methods A total of 90 patients suspicted with carotid artery stenosis were diagnosed in the department from January 2015 to October 2017 and examined with DSCTA and CDUS. The detection rates and plaques of carotid atherosclerotic plaques diagnosed by the two methods were observed. The nature and degree of carotid artery stenosis were compared. Results DSCTA examination of bilateral neck of the 90 patients revealed 52 carotid artery stenosis, 3 of which were bilateral stenosis. A total of 29 cases were diagnosed with mild stenosis, 9 cases with moderate stenosis, 12 cases with severe stenosis, and 2 cases with complete occlusion. A total of 175 plaques, including 133 calcified plaques, 30 mixed plaques, and 12 plaques, were detected. In the 90 necks of both necks, CDUS findings revealed 54 carotid stenosis, of which 3 were bilateral stenosis. Mild stenosis occurred in 26 cases, moderate stenosis in 10 cases, severe stenosis in 16 cases, and complete occlusion in 2 cases. A total of 218 plaques were detected, and they included 138 calcified plaques, 39 mixed plaques, and 41 plaques. No significant difference was observed between DSCTA and CDUS in terms of diagnosis of carotid stenosis (χ2=0.75, P=0.861). For most of the visible plaques and lipid plaques, the detection rate of <5 mm small plaques(60) was significantly higher than that of DSCTA(25) (χ2=10.035, P=0.002). Conclusions The two diagnostic methods feature high diagnostic capability for carotid stenosis and desirable clinical application value. CDUS was superior to DSCTA in detecting carotid atherosderotic plaque <5 mm in diameter.

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备注/Memo

备注/Memo:
收稿日期:2018-05-30。
通讯作者:韦成相,Email:sunwzx0730@163.com
更新日期/Last Update: 2018-12-31